The movie is about Kermit Gosnell, an abortion doctor who killed hundreds of infants born alive during abortion procedures, and was convicted of three counts of murder.

The film was announced in 2014. Funds for its production were raised via crowdfunding, in which $2.3 million was raised for the creation of the film. The film was made by Irish filmmakers Ann McElhinney and Phelim McAleer and directed by Nick Searcy. Andrew Klavan was the screenwriter. It stars Earl Billings and Dean Cain. After difficulties finding a distributor willing to carry the film, the producers signed a distribution deal with GVN.